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Patients ask this all the time in clinic. Why can’t I just get IV iron❓ Because the iron number alone isn’t how that decision is made. For most people with iron deficiency, the first step is oral iron. It’s effective, widely available, inexpensive, and safe for many patients. That’s why guidelines usually recommend starting there. When oral iron is working, hemoglobin should rise by about 1 g/dL within 2–4 weeks in someone taking it consistently. If that response doesn’t happen, or if iron store
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